| Bloom Behavior | |
|
14242 Highway 5 Marion AL 36756-6434 | |
| (256) 283-8445 | |
| Not Available |
| Full Name | Bloom Behavior |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14242 Highway 5, Marion, Alabama |
| Authorized Official Name and Position | Courtney Deyampert (CEO, BCBA) |
| Authorized Official Contact | 2562838445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Behavior 14242 Highway 5 Marion AL 36756-6434 Ph: () - | Bloom Behavior 14242 Highway 5 Marion AL 36756-6434 Ph: (256) 283-8445 |
| NPI Number | 1932071255 |
|---|---|
| Provider Enumeration Date | 09/18/2025 |
| Last Update Date | 09/18/2025 |
| Certification Date | 09/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932071255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |